| NPI | 1801776448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PAULS Owner 505-396-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |