| NPI | 1316091994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A HUTCHINSON Psychologist 505-388-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 006042) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NM 693) |
| 1041C0700X Social Worker Clinical (Licence: NM I2242) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |