| NPI | 1194045278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BURROWS Owner/Director 505-880-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC1900X Psychologist Counseling | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |