NPI | 1558603423 |
---|---|
Entity Type | Organization |
Authorized Contact | KRIS MCVICKAR DOLE Owner/Counselor 505-888-7033 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0122281) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-03-19 |