| NPI | 1699216119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTELLA MATA-HARTSHORN Owner 505-503-5978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0182901) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |