| NPI | 1740037985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA TAYLOR Owner/Lpcc 505-453-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-08-14 |