| NPI | 1255744231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA SOBHANI CEO 575-624-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |