| NPI | 1972032357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN D SCHAEFER Psychologist 575-571-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 543) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: 543) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |