| NPI | 1093651663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MEDINA Owner/Mental Health Clincian 505-289-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-04-27 |