| NPI | 1457011637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY TRUJILLO Partner/Owner 505-410-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-04-03 |