NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1083165476 |   |   |   | THRIVE COUNSELING SERVICES | 2308 GANDERT AVE SE | ALBUQUERQUE | NM | 871069607 |
1376813071 | RUBALCABA | DEMIAN | HUEMAC |   | 2308 GANDERT AVE SE | ALBUQUERQUE | NM | 871069607 |