| NPI | 1528162617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MONTOYA Therapist 505-246-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-05540) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-08-15 |