| NPI | 1417189945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA H. MCGEE Clinical Social Worker 505-948-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I04783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 2595) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |