| NPI | 1891536892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA HEFKER Owner / Provider 505-225-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-09-20 |