| NPI | 1487164810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE KING CEO 575-496-6515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 4878) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |