NPI | 1124882980 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAROLETTE ANNE COLLINS Owner 505-280-3936 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-12 |
Last Update Date | 2024-02-12 |