| NPI | 1629235593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MAXWELL JACQUES Executive Director 505-717-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2012-07-03 |