| NPI | 1124611231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNA MUSITANO Owner 575-680-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-19 |