| NPI | 1841979689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULEMA MARTINEZ Owner 915-274-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251B00000X Case Management | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-27 |