| NPI | 1215695952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA GADNEY Director 915-351-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-08-22 |