| NPI | 1750428256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CALDWELL Office Manager 505-798-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 86331) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-08-24 |