| NPI | 1225448954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK BARNECLO Licensed Psychologist 575-650-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 1108) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |