| NPI | 1114224102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI EYNON Therapist 505-577-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0114111) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |