| NPI | 1528399342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE G MILLER Lpcc 505-270-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM 0088311) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NM 0088311) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |