| NPI | 1235481201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE L OTERO-ARMIJO Clinical Director 505-715-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0136091) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |