| Organization Name: | ALEX BABANI |
| NPI Number: | 1790100956 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX BABANI (OWNER) |
| Mailing Address: | 5305 Mcnutt Rd Suite 201 Santa Teresa |
| State: | NM US |
| Postal Code: | 880089685 |
| Phone Number: | 9154795027 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2014 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0145631 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |