| NPI | 1518600048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GREENBERG Director 505-636-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TC0700X Psychologist, Clinical | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |