| NPI | 1912238965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MCCULLOCH Owner/ Lmft 505-661-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NM 0107741) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |