| NPI | 1588200984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER H WEATHERS Owner/Bsc 575-770-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2023-09-18 |