| NPI | 1437998358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLETTE CEBALLES Marriage And Family Therapist 575-430-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |