Organization
VIDA ENTERA THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DAVID AGUILAR LPCC (CO-OWNER)
(575) 421-0510
Entity
Organization
Contact information
Practice address
12 SAGEBRUSH WAY, RIBERA, NM 87560-8014
(575) 421-0510
(855) 947-2816
Mailing address
PO BOX 397, RIBERA, NM 87560-0397
(575) 421-0510
(855) 947-2816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
12/13/2025
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