| NPI | 1558618942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MARIE SANDOVAL CARPENTER Mental Health Counselor 505-350-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0080401) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |