| NPI | 1386044774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN GONZALES Owner/Clinical Director 505-382-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0168461) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0163911) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2023-09-06 |