| NPI | 1013674985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAULA BEGAY Owner/Sole Member 505-497-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2025-01-10 |