NPI | 1669068284 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA LAURA JAMES Psychologist 915-929-7718 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
103TC1900X Psychologist, Counseling | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2020-12-17 |
Last Update Date | 2020-12-19 |