| NPI | 1568790582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA P MAES Owner 505-842-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-05065) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2017-08-07 |