| NPI | 1952845042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DAVIS BACA Owner 505-238-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 3196) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |