| NPI | 1114618634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA A GODINEZ Owner 505-750-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-07-30 |