| NPI | 1962870063 |
|---|---|
| Other Name | REVOLUTION COUNSELING INC |
| Entity Type | Organization |
| Authorized Contact | DEANNA LASATER Counselor 575-538-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0086031) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |