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 |