| NPI | 1841609401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SNYDER ROSE Sole Member 575-571-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0141291) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |