| NPI | 1619723426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELI DURAN Executive Administrator 575-936-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-06-10 |