| NPI | 1497537658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERASIMOS DEMOSTHENIS KLONIS Manager 505-603-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-01-14 |