| NPI | 1669068284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LAURA JAMES Manager 915-929-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-12-19 |