| NPI | 1922519735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE JULIA WOOD Partner 505-692-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 0189841) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2021-08-19 |