| NPI | 1689970329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAREN WATERS Controller 505-816-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4379483) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |