| NPI | 1407982002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERIN K GROVES President 505-884-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0045047) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-02-19 |