| NPI | 1740672971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN L MATTHEWS CEO 505-660-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 86-87) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |