NPI | 1184748394 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG L PIERCE Chief Clinical Officer 505-830-1781 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
251S00000X | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-01-17 |