| NPI | 1689111841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRU LEBEZNICK BROWN Clinical Director 505-730-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-07730) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |