| NPI | 1629866058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY BELINDA POE Manager 505-800-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 173C00000X Reflexologist | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-08-12 |