| NPI | 1497625206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA GARY Owner 575-520-5166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |