| NPI | 1447149976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL COPELAND Owner 575-440-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 101Y00000X Counselor | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 104100000X Social Worker | |
| 103K00000X Behavior Analyst | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-11-05 |