| NPI | 1508225749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAN BLOCK Executive Director 505-983-0586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0090881) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |