| NPI | 1245704964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE M PARSONS Chief Operations Officer 505-907-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 221700000X Art Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |