| NPI | 1174394308 |
|---|---|
| Doing Business As | LA LOBA PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | RENEA BEEN Owner 505-677-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-07-09 |