| NPI | 1609302454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY YADIRA TALAMANTES Mental Health Therapist 575-680-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM C-09162) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-08-10 |