NPI | 1396058079 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSITA A. MOYA-HERRERA Therapist 505-771-5958 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NM M-05024) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |