| NPI | 1548565450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY DIANE QUINN Counselor 915-497-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM T-0136671) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |