| NPI | 1568975415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA RAMSEY Psychologist 505-818-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-01-08 |