| NPI | 1447963152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL BANMBUH CEO 505-225-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2022-12-28 |