| NPI | 1437728490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ULIBARRI Owner 505-429-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-09-13 |