| NPI | 1063957983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE NOEL STEVENS Owner/Psychotherapist 505-385-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0121691) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NM 0106661) |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2017-01-01 |