| NPI | 1821561911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MARTIN-CUELLAR Owner 505-554-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2026-02-13 |