| NPI | 1659185627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIAH FIELDER Founder 575-520-2824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 163W00000X Registered Nurse | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-13 |