| NPI | 1770078321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL M AGLER Chief Clinical Officer 505-470-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08163) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |