| NPI | 1588843056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L WOLFE President/CEO 505-884-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0790) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-10-21 |