| NPI | 1699899526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEITH FORD Therapist, President 505-649-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M05659) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |