| NPI | 1447584610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMANI TURTLE-SONG Clinical Therapist 505-232-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0069042) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |