| NPI | 1821180936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M MARJAMA LYONS Owner 505-797-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NM 94-319) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2012-02-24 |