| NPI | 1558395475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARKE A BRUNTON President 505-345-4286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM a116001) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |