| NPI | 1295910065 |
|---|---|
| Doing Business As | SIERRA VISTA COUNSELING |
| Entity Type | Organization |
| Authorized Contact | BEVERLY MICHAEL Owner/Operator 505-287-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 03-074959-00-0) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2008-07-07 |