| NPI | 1558808634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A NANDINO Therapist 505-832-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0118471) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-05-10 |