| NPI | 1992866313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUSAN LOMBARI Clinical Director 505-296-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NM FA0050579) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |