| NPI | 1467662015 |
|---|---|
| Other Name | PEGGY ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NM 006277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0203831) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-07-12 |