| NPI | 1194391433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENECA DEAUN RUSSELL-RODRIGUEZ Owner/Operator 575-644-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2024-06-13 |