| NPI | 1720206113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MANUEL VIGIL Executive Director 575-758-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-06-11 |