| NPI | 1831646157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MAURER Owner 575-640-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 03-359207-00-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 03-359207-00-1) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2024-06-14 |