| NPI | 1659551893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY N. CARROL President/Owner 505-268-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4094) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-19 |