| NPI | 1164100962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STEWART Co Owner 505-603-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2025-07-13 |