| NPI | 1851961882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY FELLOWS DWORAK Lmft 575-693-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |