| NPI | 1184104572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESENIA ACOSTA President 575-494-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09180) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |