| NPI | 1356527162 |
|---|---|
| Doing Business As | MARK SIMPSON, PSYD, MAC, LADAC |
| Entity Type | Organization |
| Authorized Contact | MARK S SIMPSON Clinical Psychologist/Program Dir 505-977-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |