| NPI | 1407990500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLINDA TRUJILLO Administrator 505-222-0375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TF0000X Psychologist Family | |
| 103TP0016X Psychologist Prescribing (Medical) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-02-24 |