| NPI | 1790019420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D DUTREMAINE Executive Director 505-564-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0090031) |
| 101YM0800X Counselor, Mental Health (Licence: NM I-06858) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2025-07-10 |