| NPI | 1851774426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY JO WARNICK Therapist 575-776-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-4486) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-05-05 |