| 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 |