NPI | 1952960312 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGNOLIA BEATRIZ GONZALEZ HEATON Founder, Clinical Director 505-333-9042 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-06-10 |
Last Update Date | 2021-09-21 |