NPI | 1144364472 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN P LEWIS President 505-248-0698 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NM 94-300) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM I-1464) |
225700000X Massage Therapist (Licence: NM 4735) | |
225700000X Massage Therapist (Licence: NM 3659) | |
Enumeration Date | 2007-02-19 |
Last Update Date | 2018-06-21 |