| NPI | 1902585169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE KEENE Owner 505-207-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2024-10-04 |