| NPI | 1992554521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTALYN MADDEN Owner, Professional Counselor 505-477-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |