NPI | 1477897759 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEFA PEREA Clinical Social Worker/ Owner 575-571-9980 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM I-3048) |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |