NPI | 1265683882 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL R. PITTS President 575-522-5466 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1052) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2008-10-01 |