| NPI | 1821368804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN C. CHAVEZ Clinical Mental Health Counselor 575-437-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0106881) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |