| NPI | 1376577221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY J. RODGERS Agency Director 505-888-5499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 08028036) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |