| NPI | 1538425541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W MARTIN President 575-805-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NM MD2008-0370) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2008-0370) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2008-0370) | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2013-02-26 |