NPI | 1790290161 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE SILVERMAN Psychotherapist/Art Therapist 505-629-8176 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 246ZA2600X Specialist/Technologist, Other, Art, Medical |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |