| NPI | 1205005196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C. MAYFIELD CEO 575-650-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0010C) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0101061) |
| 103TC1900X Psychologist, Counseling (Licence: NM NM0943) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-3644) | |
| 1041C0700X Social Worker, Clinical (Licence: NM M-05824) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-06500) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2013-06-18 |