| NPI | 1790139673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO PICHA Psychotherapist/Social Worker 505-366-9106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C09396) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-07-11 |