| NPI | 1710876719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MESTAS Partner 505-999-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X Community/Behavioral Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2026-04-06 |