| NPI | 1285861633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY W OLIVAS Administrator/Counselor 575-993-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2012-11-06 |