| NPI | 1013559038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MIRABAL Partner 575-520-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2023-08-08 |