| NPI | 1023321213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY HENDERSON Administrative Director 575-522-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0076651) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 005708) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |