| NPI | 1972257855 |
|---|---|
| Other Name | ERNESTINE TENNEFOS |
| Doing Business As | ERNESTINE TENNEFOS |
| Entity Type | Organization |
| Authorized Contact | ERNESTINE TENNEFOS Mental Health Counselor 575-791-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |