| NPI | 1053125146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA NICOLE RUBIO Licensed Clinical Social Worker 505-414-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-02-20 |