| NPI | 1558003038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA RAMOS Director 505-477-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2023-04-11 |