| NPI | 1437965415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MCCABE CEO 505-418-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-10 |