NPI | 1043556897 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM PAGE EUBANK Licensed Prof Clinical Counselor 505-327-0264 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NM 0095601) |
Additional Taxonomies | 251S00000X (Licence: NM 0095591) |
Enumeration Date | 2012-12-26 |
Last Update Date | 2012-12-26 |