| NPI | 1356964928 |
|---|---|
| Doing Business As | OWNER/MEMBER |
| Entity Type | Organization |
| Authorized Contact | NANCY ANN PENA Owner/Member 580-917-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2025-04-28 |