| NPI | 1205626306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRISSA E SOTELO Owner 505-916-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |