| NPI | 1811187289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L. PIERCE Psychotherapist/Chief Clinical Dir. 505-830-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 1243) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 1243) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 1243) | |
| 101YP2500X Counselor, Professional (Licence: NM 1243) | |
| 103TC1900X Psychologist, Counseling (Licence: NM 1243) | |
| 1041C0700X Social Worker, Clinical (Licence: NM 1243) | |
| 106H00000X Marriage & Family Therapist (Licence: NM 1243) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |