| NPI | 1750586442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL VILLALOBOS MADEWELL CEO, Clinical Director 575-522-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-3133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0100941) |
| 1041C0700X Social Worker, Clinical (Licence: NM M-06372) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-12-04 |