NPI | 1619863958 |
---|---|
Entity Type | Organization |
Authorized Contact | NADJA V MAIA President 505-582-7427 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
106H00000X Marriage & Family Therapist | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2025-06-14 |
Last Update Date | 2025-06-14 |