| NPI | 1750558003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M. ROSS Owner 505-988-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 87141) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-11-14 |