| NPI | 1114874344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYRIC LAWSON-PARKS Licensed Clinical Social Worker 505-750-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |