| NPI | 1437832532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONA A COLLINS Owner 505-318-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-12-11 |