| NPI | 1710797386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY VIALPANDO Owner 505-377-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-03-07 |