| NPI | 1265026199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE DUNLAP Owner/Lead Clinician 505-906-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |