| NPI | 1548326705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M. HOOPER Therapist 505-865-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0063081) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |