| NPI | 1114690443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA SADIE LOMBARDI Owner/Manager 505-433-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |