| NPI | 1619256427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAPRICE PINO Q&A Director 505-877-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-07595) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |