| NPI | 1669622189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RENEE ACKLEN Psychotherapist 505-332-8549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I05822) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |