NPI | 1992571327 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA HERRERA GARDNER Owner 505-859-9559 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-27 |
Last Update Date | 2023-11-27 |