| NPI | 1295371714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J PUTNAM Owner 505-604-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-17 |