| NPI | 1295433985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SERNA Owner/CEO 505-660-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-12-13 |