| NPI | 1609714716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO A HUERTA Owner 575-405-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-04-27 |