| NPI | 1053631697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MACATEE ROZELL Clinical Counselor/Psychotherapist 505-974-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM LPCC-0132241) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2017-03-02 |