| NPI | 1538644133 |
|---|---|
| Other Name | JENNIFER PERES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PERES Owner 505-699-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-09-01 |