| NPI | 1740471036 |
|---|---|
| Doing Business As | OUTPATIENT BEHAVIORAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | J ALEX VALDEZ President And CEO 505-820-5202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |