| NPI | 1619171055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN LYNNE LEVINE Owner 505-831-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I06070) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-07-21 |