| NPI | 1790503936 |
|---|---|
| Doing Business As | MELANIE COPELAND |
| Entity Type | Organization |
| Authorized Contact | MELANIE COPELAND Owner/Clinician 505-424-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |