| NPI | 1427463694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T WILLIAMS Clinical Director 575-649-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM 12683) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |