| NPI | 1235569559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNA SPEER Mental Health Counselor 575-799-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM 1-06006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0146681) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |