NPI | 1568982700 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA HOMER Manager/ Owner 505-436-3916 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2020-02-27 |