| NPI | 1780062786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RENEE CANDELARIA Licensed Independent Social Worker 505-489-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07738) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |