| NPI | 1194048447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN J SHABSHAI FOX Director 505-699-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I06240) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |