| NPI | 1629471271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE HOLM SCHROEDER Counselor 505-234-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0163221) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |