| NPI | 1356733158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE ROBYN ATENCIO Behavioral Health Therapist 505-554-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM FA0117647) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NM FAo117647) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |