| NPI | 1518331750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELL DENISE CLAY Professional Clinical Counselor 505-306-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0177271) |
| Enumeration Date | 2015-11-28 |
| Last Update Date | 2016-02-11 |