| NPI | 1619152238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY K CARTER Manager 575-234-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: R57579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0076041) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-11-03 |