| NPI | 1356590806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED BERRIE CARMACK Co Owner 505-281-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T0113761) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |