| NPI | 1871674887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLE GRANT Vice President 505-986-3478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM I1319) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM I1310) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |