| NPI | 1558049080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ZEMBAS Lpcc/Owner 575-631-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-12-09 |