| NPI | 1629866058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY T POE Co Owner/Manager 505-458-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 173C00000X Reflexologist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2026-06-25 |