| NPI | 1508424987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R DUBACH Owner/Licensed Clinical Social Work 505-401-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |