| NPI | 1891649141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA KOUPF Owner 505-585-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-07-10 |