| NPI | 1851844179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIO E GUTIERREZ CEO 915-204-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-02-10 |