| NPI | 1386108660 |
|---|---|
| Former Legal Business Name | RIO GRANDE ADELANTE |
| Entity Type | Organization |
| Authorized Contact | BRENDA ANN RISCH Executive Director 915-269-5892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-07-02 |