| NPI | 1922499136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA B RILEY Executive Director 505-325-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0154441) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |