| NPI | 1922687573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNELL E MCCLEOD Owner 915-777-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-23 |