| NPI | 1952807521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MURPHY Managing Member 575-404-0743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0190031) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |