| NPI | 1255501359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL R BURKS Ph D/President 575-524-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 651) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |