| NPI | 1063149649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA TAFOYA-TORREZ Owner 505-401-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2026-03-27 |