| NPI | 1306771514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HENEGHAN Md/Owner 505-699-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-06-17 |
| Last Update Date | 2026-07-23 |