| NPI | 1710645494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SMITH Owner 505-596-0254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-10-24 |