| NPI | 1265814255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ARLENE STARKENBURG President 505-500-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 1134) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-10-07 |