| NPI | 1497073217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELASARIA LIHON Owner 505-362-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06142) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM I-06142) |
| 101YP1600X Counselor, Pastoral (Licence: NM I-06142) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |