| NPI | 1356537468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH C YAROCH Sole Proprietor 505-524-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM MD2007-0611) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |