| NPI | 1346652120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE COLEMAN Founder / CEO 505-237-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM M-08424) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 59172) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |