| NPI | 1790532307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY SANDELIN Senior Social Worker 505-265-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |