| NPI | 1790180743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA K JOHNSON-JIMENEZ Psychologist 505-386-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4880277) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2022-07-21 |