| NPI | 1396274312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SMAGA Direct Owner 575-430-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 0110501) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-06-16 |