| NPI | 1942637517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JOHN WIARD Chief Executive Officer 505-690-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0109811) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2024-06-06 |