| NPI | 1528801289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA MOLINA LANDEROS Lcsw, Outpatient Clinical Therapist 505-920-6387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-07-29 |