| NPI | 1700383627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELINE GONZALES Owner 505-886-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08897) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2019-02-27 |