| NPI | 1285088658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE ALVAREZ Credentialing Specialist 575-449-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-07-21 |