| NPI | 1720859911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERWIN CARL HOAGSTROM Clinical Social Worker, Owner 505-907-6084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |