| NPI | 1366326381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY FROEHLICH GERKE Owner/Operator 505-390-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |