| NPI | 1508221938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALLY MAY Owner 575-652-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM X-09387) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: NM CNP-02575) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-07-19 |