| NPI | 1417279233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B. PARTYKA Clinical Psychologist 575-647-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 03176603000) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |