| NPI | 1538275532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY BOLEN Partner 505-992-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I05491) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NM 0077101) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |