| NPI | 1528168606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL REGENSBERG CEO 505-247-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07173) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3676) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3678) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM T-0094391) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0065322) | |
| 101YM0800X Counselor, Mental Health (Licence: NM 0088171) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-07-22 |