| NPI | 1376284844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY TSO Owner 505-635-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-03-10 |