| NPI | 1174282909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA SHRADER Owner 505-750-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-01-03 |