| NPI | 1699072538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA LEYBA Credentialer 505-991-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0137231) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2025-11-06 |