| NPI | 1689408726 |
|---|---|
| Doing Business As | INNER CONNECTIONS MENTAL WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | LOU DURAN Credentialing And Billing 505-270-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |