| NPI | 1629610597 |
|---|---|
| Other Name | CIMA LIVE, LAUGH, PLAY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W NOBLE Owner 505-480-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |