| NPI | 1548030679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA RODRIGUEZ Licensed Clinical Social Worker 505-353-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |