| NPI | 1841999059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JOHNSEN Owner 505-288-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-05-17 |