| NPI | 1871374041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE L BAKER Director 505-362-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |