| NPI | 1164242178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE ALLYSE BARRERA Owner/ Pmhnp 915-422-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-15 |