| NPI | 1568075802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M ROBBINS Office Manager 915-671-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251B00000X Case Management | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-12-06 |