| NPI | 1750765699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NICASTRO Owner/Psychologist 575-915-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1076) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |