| NPI | 1679710677 |
|---|---|
| Former Legal Business Name | ALLISON L BENTON, LISW |
| Entity Type | Organization |
| Authorized Contact | ALLISON BENTON GOSS Member 505-266-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-03-27 |