| NPI | 1588042329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DILL Receiver 505-459-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208D00000X General Practice | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-02-06 |