| NPI | 1376304014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLINA C MCCALL Clinical Director 505-550-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YS0200X Counselor School | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-05-13 |