| NPI | 1447546221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LULEY President 505-489-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM A-1480-08) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |