| NPI | 1972671212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE V OTERO Clinical Counselor 505-260-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 005631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-06-13 |