| NPI | 1174980353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RAAB SCHNEIDER Clinical Social Worker 505-395-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07643) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-10-21 |