| NPI | 1154483998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM GALLEGOS Executive Director 505-425-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-07-21 |