| NPI | 1053839944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SAWYERS Clinical Counselor 575-415-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0093781) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |