| NPI | 1407843311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNE SPAHR Vice President 505-292-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM LPCC 1116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM LPCC 1729) |
| 106H00000X Marriage & Family Therapist (Licence: NM LMFT 1307) | |
| 1041C0700X Social Worker, Clinical (Licence: NM I-05493) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |