| NPI | 1467742015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIGI A DULANTO Psychiatrist 505-718-6419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM 2002-0451) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2011-04-17 |