| NPI | 1043682644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE DIENER Psychotherapist, Owner 575-535-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 3408) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |