| NPI | 1679812796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY BOSCHERO Owner/Operator 575-624-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP00315) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NM CNS00056) |
| 163W00000X Registered Nurse (Licence: NM R19986) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-03-18 |