| NPI | 1518694009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOE CORNWELL Owner 505-262-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2026-03-27 |