| NPI | 1710421094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE VALENTINE Owner 505-577-2469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM LPCC0157181) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |