| NPI | 1326436098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BURROWS Director 505-880-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T0170841) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |