| NPI | 1811233588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GURULE Owner 505-508-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2026-03-27 |