| NPI | 1881868149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM KATHLEEN MONTGOMERY Therapist 505-342-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 251S00000X) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |