| NPI | 1831529411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WILLINGHURST Psychiatrist 505-688-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM 98199) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |