| NPI | 1407723216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARDS President 575-308-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-11-03 |