| NPI | 1316325061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA NICOLE SHELBOURN Owner 505-690-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0094521) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |