| NPI | 1457036808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY J HEMERLEIN Lcsw 505-456-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-10-03 |