| NPI | 1720269848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES E GLASSCOCK Owner 575-649-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM R15936) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |