NPI | 1750012209 |
---|---|
Doing Business As | COLLABORATIVE COUNSELING 505 |
Entity Type | Organization |
Authorized Contact | SAM HUFNAGEL Owner 505-705-9636 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2022-06-23 |
Last Update Date | 2022-06-23 |