| NPI | 1174242267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER MCKAY Managing Employee/ Owner 505-270-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |