| NPI | 1326574021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA GUTIERREZ Social Worker 505-425-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM C09343) |
| Additional Taxonomies | 251S00000X (Licence: NM C09343) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |