| NPI | 1851809552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI COLLIER Owner 505-610-1439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM ccmh0193881) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |