| NPI | 1164458527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HERNANDEZ Human Resource Assistant 575-647-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM X06328) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3904) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-08-12 |