NPI | 1689271413 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE L CASTILLE Clinical Counselor 505-358-8910 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-05 |