| NPI | 1750753927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN SELBY Licensed Clinical Social Worker 505-695-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-06511) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |