| NPI | 1598019358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MCGRATH Director 505-925-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NM M-07057) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |