| NPI | 1992230841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ROBIN REICH Sole Proprietor 505-984-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM 81-294) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |