| NPI | 1386009876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KIRSCHMAN Therapist 575-749-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 12475) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |