NPI | 1982817672 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE RAE CARLTON CEO Of Lacuna 505-751-3565 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 4519) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2020-08-22 |