| NPI | 1215223375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES MCLEOD Partner 505-425-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 1590) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |