| NPI | 1487400214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNA YEAGER Licensed Clinical Social Worker 575-302-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2026-08-10 |