| NPI | 1871048082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB D MCKEAN Counselor 575-302-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC6150) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OK LPC6150) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |