| NPI | 1437684727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY POWERS Owner 575-491-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |