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 |