NPI | 1891331773 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L LEDEZMA-CHINCHILLA Clinical Counselor 505-417-3824 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-11-26 |
Last Update Date | 2020-03-18 |