| NPI | 1700409968 |
|---|---|
| Other Name | SELF-EMPLOYED |
| Entity Type | Organization |
| Authorized Contact | CECELIA A ALBERT President/Owner 505-231-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |