| NPI | 1023558509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY CHIDESTER Owner 575-208-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0138451) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |