| NPI | 1588232060 |
|---|---|
| Doing Business As | MOLINA BEHAVIORAL SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | LESLIE MOLINA Behavioral Support Consultant 575-915-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |