| NPI | 1982995205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN KOLOMEIR Nurse Practitioner Owner 505-720-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2014-01-28 |