| NPI | 1023574431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA HELLER NELLOS Co Owner 505-321-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-23 |