| NPI | 1770899817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN RHODES Owner 505-553-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05875) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-01-04 |