| NPI | 1730411299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO GOMEZ Clinical Mental Health Counselor 915-355-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 4226056) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |