| NPI | 1205039930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN COTTEN Owner 575-439-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: NM 0791) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2012-10-15 |