| NPI | 1215022041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE LEE FERRIEGEL COO 505-273-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-07-17 |