| NPI | 1831494202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTACIA MARTINEZ Lpc 915-775-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2025-06-17 |