| NPI | 1447792965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR R MONTES Family Therapist 505-220-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0069951) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |