| NPI | 1104066463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A DONALDSON CEO 505-720-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101Y00000X Counselor |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2025-05-08 |