| NPI | 1770329294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNA AMANDA GARCIA Owner/Clinician 505-289-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-08 |