| NPI | 1073128351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE HERNANDEZ Co Owner 505-918-7412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2025-01-13 |