| NPI | 1992782650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HASBAH ROESSEL Psychiatrist 505-946-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM 89-288) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2011-09-13 |