NPI | 1073045688 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE LOUISE ROSS Owner/Therapist 505-980-7219 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0153281) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2017-04-02 |