| NPI | 1376704262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE H. KERSTEN Owner 505-550-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05378) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |