| NPI | 1932559481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE TERRAZAS Clinical Counselor 575-202-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0138771) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-10-25 |