| NPI | 1346641545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSY KAY ASHCROFT Owner/ Provider 505-402-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0071091) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 065332) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |