| NPI | 1285230391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA FANCHER Managing Partner 915-996-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2023-01-26 |