| NPI | 1427787035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREY WALKER Owner 575-838-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 106S00000X Behavior Technician | |
| 171400000X Health & Wellness Coach | |
| 222Q00000X Developmental Therapist | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-12-12 |