| NPI | 1952770174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS WILLIAM DAVIDSON President 505-363-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 005632) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |