| NPI | 1730552332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA A STEVENS Co Owner 505-454-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07354) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |