| NPI | 1790660058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MONTOYA Licensed Clinical Social Worker 575-496-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |