| NPI | 1013540228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CANNON CEO 575-740-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2024-04-19 |