| NPI | 1427163807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DWIGHT HOLDEN Owner 505-988-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OK 16440) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-12 |