| NPI | 1699013169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARICIA MARTINEZ BURR Licensed Professional Clinical Coun 505-463-0472 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 2191) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |