| NPI | 1841434008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN D DAUGHERTY Director 915-351-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2010-11-30 |