NPI | 1700233699 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT HOWARD MEDDAUGH Owner Therapist 505-506-1877 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0145071) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NV 0125) |
101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0162551) | |
Enumeration Date | 2016-05-20 |
Last Update Date | 2016-05-20 |