| NPI | 1881992311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. DYKES-HARRELL Counselor 575-749-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 005790) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2012-06-19 |