| NPI | 1831710490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA R JARAMILLO COO 505-982-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-06-24 |