| 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 |