| NPI | 1851884423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL TOURANGEAU Owner & Mental Health Practitioner 505-429-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM C-4248) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2020-05-28 |