| NPI | 1972057909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MADRID Lisenced Clinical Mental Health Cou 505-550-7352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0182891) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |