| 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 |