| NPI | 1700277886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERMAN ULIBARRI Executive Director 575-445-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM T-0172211) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |