| NPI | 1043857147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HERRON Owner 575-835-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2021-09-28 |