| 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 |