| NPI | 1942878475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK A WEST Board Member 505-385-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |