| NPI | 1518453521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEN BROOK MOORE Director/ Owner 575-760-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM PSY1511) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |