| NPI | 1962612010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL REYES Mst Therapist 505-649-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NM 01022051) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-07-07 |