NPI | 1225814551 |
---|---|
Entity Type | Organization |
Authorized Contact | IONA COOPER Owner, Sole Employee 505-819-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2023-09-01 |