| NPI | 1952813131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CASAUS Practitioner 505-710-5516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0164921) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2024-01-05 |