| NPI | 1538263041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE CAROL WILSON President 575-373-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0122051) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2009-07-08 |