| NPI | 1780184465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN B TOENNIGES Owner 575-649-1979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-09316) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |