| NPI | 1982595419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ROMO CEO/Owner 505-645-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2083A0300X Preventive Medicine Addiction Medicine |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 101Y00000X Counselor | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 1041C0700X Social Worker Clinical | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| 103TC0700X Psychologist Clinical | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |