| NPI | 1972965978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANMARIE KEIM Psychologist CEO 505-585-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0987) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-03-24 |