| NPI | 1376086744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER L HAYES Psychologist 505-250-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NM 0940) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2016-12-02 |