| NPI | 1639675820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHICA RHODES LOFTON Clinical Director/CEO 505-301-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-09-11 |