| NPI | 1083063309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEHNEN Clinical Social Worker 505-490-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09424) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0178651) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-07-11 |