| NPI | 1306334800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYE L HENRIE Owner 505-361-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM 1457) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-08-31 |