| NPI | 1497117196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA D MOHARTER Licensed Mental Health Counselor 505-917-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0172691) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |