| NPI | 1568884690 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT ALEXANDER SAN-CLAIRE Psychotherapist 505-264-4457  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0161331)  | 
| Enumeration Date | 2014-01-08 | 
| Last Update Date | 2014-01-08 |