| NPI | 1942339163 |
|---|---|
| Other Name | PSYCHIATRIC (UPC & CPC) MID-LEVEL SVC |
| Entity Type | Organization |
| Authorized Contact | ELLA B. WATT CFO 505-272-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NM 6005) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |