| NPI | 1639498850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELYNDA DENICE MADRID Owner 505-306-2257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0132101) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-07-19 |