| NPI | 1316059314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON W FREEDLE Managing Partner 505-820-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 06-03806) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-05-05 |