| NPI | 1104073451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GINGA Owner/Therapist 505-450-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0083821) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |