NPI | 1437474624 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN MACK Therapist / Owner 505-385-3963 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4272969) |
Enumeration Date | 2010-03-31 |
Last Update Date | 2013-04-03 |