| NPI | 1063539583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BROOKS ABERNATHY Director 505-249-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 1396) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-02-20 |