| NPI | 1194229484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE M. CASSIDY Lcsw 575-779-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-10004) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |