| NPI | 1740428879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SONTAG Lisw, Pc 505-263-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: NM I-1991) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |