| NPI | 1104229160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA HERNANDEZ Owner 505-515-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08491) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |