| NPI | 1164090080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MUNOZ Owner 575-202-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |