NPI | 1114483096 |
---|---|
Doing Business As | MARY CAMILLE CUNNINGHAM |
Entity Type | Organization |
Authorized Contact | MARY CAMILLE CUNNINGHAM Sole Mbr 505-331-7815 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-02-14 |