| Organization Name: | ALTERNATIVES COUNSELING CENTER, LLC |
| NPI Number: | 1538540091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SANDRA MICHELLE SANTOS-RODRIGUEZ (CEO) |
| Mailing Address: | 5300 Mcnutt Rd Ste 11 Santa Teresa |
| State: | NM US |
| Postal Code: | 880089647 |
| Phone Number: | 9154221968 |
| Fax Number: | 9155936070 |
| NPI Enumeration Date: | 06/10/2015 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |