| NPI | 1285141945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE L CAMPOS Therapist 575-640-4953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM CMF0193691) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |