| NPI | 1831514520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON COVA Member Of Owner LLC 505-888-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2022-05-20 |