| NPI | 1164242178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE ALLYSE BARRERA Owner 915-422-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-07-09 |