| NPI | 1972014793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOYDEN D CALLAWAY Mental Health Therapist 575-405-1609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0185451) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |