| NPI | 1679411474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYS HERSEY Owner 915-302-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |