| NPI | 1093105033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIO DAVID SILVA Director Nmsu Eap 575-646-6603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0124) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |