NPI | 1457051138 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE MAESTAS Owner Practitioner 505-382-4922 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YP2500X Counselor Professional |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-03-09 |
Last Update Date | 2024-02-06 |