| NPI | 1407359136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL GONZALES Owner 575-312-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM C-10254) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |