| NPI | 1578831780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE F DOMINGUEZ Cbs Director 505-454-5134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-07539) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |