| NPI | 1497183131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E. ELLINGTON Owner 575-622-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 1501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 1501) |
| 101YM0800X Counselor, Mental Health (Licence: NM 1501) | |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |