| NPI | 1437339512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL G. RODARTE Owner 575-522-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM NM2002-0380) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 2002-0380) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2010-10-25 |