| NPI | 1831397488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERA JOHN Behavioral Health Director 505-786-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2022-03-10 |