| NPI | 1427467547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE D LOPEZ CEO/Clinical Director 505-750-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM FA0098824) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-12-12 |