| NPI | 1346836244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH K DANIELS President/Owner 505-903-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-12-17 |