| NPI | 1629560198 |
|---|---|
| Former Legal Business Name | TRAUMA AND RECOVERY CENTERS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD DAHLIN Clinical Supervisor 575-574-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-05-31 |