| NPI | 1932087491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE CEE VALLEJOS Clinical Counselor 505-720-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-23 |
| Last Update Date | 2025-08-23 |