| NPI | 1407698921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH DODSON Executive Director 505-801-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2025-05-29 |