| NPI | 1720231996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D DUTREMAINE Clinical Director 505-564-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 4397) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |