| NPI | 1356039994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE DUNNELL Owner/Clinical Therapist 505-322-5856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |