| NPI | 1679974943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S SIMPSON Director/Clinical Psychologist 505-977-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0930) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |