| NPI | 1144370917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIAN KOSTRANCHUK President 505-232-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 95-275) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |