| NPI | 1346768157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HENRY BIEN Owner 505-242-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 616) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM 616) |
| 261QM0801X (Licence: NM 616) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |