| NPI | 1760620751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY V ANDERSON Executive Director 505-990-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2019-07-16 |