| NPI | 1386367514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L PAHOS Owner 505-362-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-11-15 |