| NPI | 1750582896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WHITNEY SWANSON President 505-206-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4226) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2023-04-03 |