| NPI | 1952010126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BARNES FORD Owner 505-409-6351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |