| NPI | 1942169198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY THOMAS ESQUIBEL Outpatient Therapist 575-805-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-08-12 |