| NPI | 1689246688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE STRASSER Clinical Director 505-336-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-11 |
| Last Update Date | 2021-07-11 |