| NPI | 1649925686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN MENSAH President 505-445-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2023-09-11 |