| NPI | 1427780253 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VIRIDIANA ORTIZ Owner 915-832-1702 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry | 
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty | 
| Enumeration Date | 2022-06-29 | 
| Last Update Date | 2022-12-19 |