| NPI | 1992575195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SALMON Owner 915-519-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-02-26 |