| NPI | 1063929826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN SAND Owner/Licensed Counselor 505-228-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-02-09 |