| NPI | 1699012245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM THORP Clinical Social Worker 505-660-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-04885) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2017-07-11 |