| NPI | 1790143063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA A. LOUGHEAD Owner 505-261-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-08489) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |