| NPI | 1598752370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN FREEBIRD Owner, Provider 505-624-0486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-04800) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-10 |