| NPI | 1760850416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ZIMPELMAN Registered Agent 505-933-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 102651) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-14 |