| NPI | 1992398457 |
|---|---|
| Former Legal Business Name | CARLSBAD LIFE HOUSE INC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUSAN ROGGE-ROGERS Executive Administrator 575-302-8304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 175T00000X Peer Specialist | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2022-12-30 |