NPI | 1275842254 |
---|---|
Other Name | LIVE COUNSELING & MEDIATION |
Entity Type | Organization |
Authorized Contact | MICHAEL W. OLLOM Member 505-717-7227 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM i-05823) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2023-12-12 |