| NPI | 1285088963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN COLLINS Executive Director 505-330-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 486) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-0777) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0180441) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2023-11-20 |