| NPI | 1730698309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ANN MARSHALL CEO, Mental Health Counselor 575-888-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |