| NPI | 1124521836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LEIGH ROGERS Licensed Clinical Social Worker 505-570-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |