| NPI | 1740734755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R MICHAEL WESTBAY Clinical Social Worker 505-688-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-2163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 2575) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |