| NPI | 1255374021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN REDMOND Executive Director 505-662-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 3038) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3038) |
| 1041C0700X Social Worker, Clinical (Licence: NM 3038) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2023-08-18 |