| NPI | 1558947770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE-ANNE STIMPSON Owner 505-932-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QC1800X Clinic/Center Corporate Health | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-11-20 |