| NPI | 1326646944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE K GRAY Owner 505-720-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-12-11 |