| NPI | 1306569041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN SUTTER CEO 505-884-1114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |