| NPI | 1497506109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ESTRADA Owner 505-639-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |