| NPI | 1982249363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE VILLARREAL Owner 505-414-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2025-04-07 |