| NPI | 1578629630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A DAHLIN Executive Director 505-894-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 1815) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |