| NPI | 1083001002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY D CROTINGER Group Of 1 575-303-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0159381) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |