| NPI | 1093171035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WONG HOPE Clinical Social Worker 505-660-9435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08692) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |