| NPI | 1922343433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA FREEMAN-MAZE Lmhc 505-804-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0154231) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |