| NPI | 1902126451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CHICAS Owner/Clinical Director 505-974-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0126931) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |