| NPI | 1164637161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA LEE SCHAEFER Clinical Social Worker 505-720-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06002) |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2009-09-24 |