| NPI | 1720445679 |
|---|---|
| Other Name | ROXANNE MERCURIO |
| Entity Type | Organization |
| Authorized Contact | ROXANNE MERCURIO Licensed Mental Health Counselor 505-231-3786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM T-0174411) |
| Enumeration Date | 2016-01-23 |
| Last Update Date | 2016-01-23 |