| NPI | 1659427615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS R. HOLLEY Owner, Psychiatrist 505-232-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NM 77-45) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM 77-45) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-08-18 |