| NPI | 1376086298 |
|---|---|
| Doing Business As | THE SOURCE CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SONTAG Social Worker 505-263-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-1991) |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2016-11-25 |