| NPI | 1992594626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PRATT Credentialing Specialist 505-207-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |