| NPI | 1629800529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ESTRADA Owner 505-306-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-20 |