| NPI | 1942365416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BREEDEN Office Manager 505-326-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM 2000-14) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-12-21 |