NPI | 1487166880 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN LICHTLE Owner 505-588-8207 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2024-10-03 |