| NPI | 1114274214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN C PADULA Lisw 575-740-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07672) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0148031) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |