| NPI | 1942684402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KIRK ANDERSON Director 575-390-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 1192) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |