| NPI | 1295180388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENETTE VARLEY Owner 505-301-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0114351) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0077171) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |