NPI | 1821575671 |
---|---|
Entity Type | Organization |
Authorized Contact | LORENA GARCIA Provider/Owner 575-522-4602 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM CNP-02160) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2023-12-10 |