| NPI | 1306389580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA GOLDSMITH Owner, Clinical Psychologist 505-412-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 1155) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |