NPI | 1942645866 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDE CIDDIO Practice Manager 505-504-1027 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM NM20030078) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2013-05-06 |