| NPI | 1053838375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA ORTEGA Owner/Clinical Director 505-944-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0159661) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |