| NPI | 1962290536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN RAY MESSENGER Owner 505-216-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |