| NPI | 1013362987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CROWL Owner/Counselor/Therapist 505-235-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 40277) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |