| NPI | 1548968266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET (MEG) CARLSON Licensed Clinicial Counselor 505-259-1574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-03-06 |