| NPI | 1679819445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL R HINRICHS Partner 505-884-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 1202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-12-22 |
| Last Update Date | 2019-02-12 |