| NPI | 1376754556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JEAN FARIES Executive Director 505-830-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0103721) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2020-08-22 |