| NPI | 1518452945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GATES Executive Director 575-571-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |