| NPI | 1710676127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH CALE ARREOLA Single Member 505-652-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-02 |