| NPI | 1669909537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MARTHA GULDAN Owner 505-927-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0109881) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |