| NPI | 1023852043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MONTOYA Licensed Clinical Social Worker 505-712-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |