| NPI | 1497947519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL GILSDORF Member 575-443-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0096281) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2009-06-29 |