| NPI | 1699117275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE HARRISON-SANCHEZ Director Of Program Development 505-338-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08251) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |