| NPI | 1154147601 |
|---|---|
| Doing Business As | ELITE MIND AND BODY WELLNESS: MENTAL HEALTH AND PRIMARY CARE SERVICES, |
| Entity Type | Organization |
| Authorized Contact | MARYBETH A PIRRONE Owner/Authorized Official 575-644-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |