| NPI | 1891421467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA M GUFFEY Nurse Case Manager 505-436-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |