| NPI | 1275963555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ALLAIRE Counselor 505-514-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0123631) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |