| NPI | 1235495979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE JOHNSON Clinical Director 505-954-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0145811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0142451) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2015-05-14 |