| NPI | 1912363714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA L KORENCHEN Licensed Clinical Social Worker 505-385-8496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM I-08243) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2018-11-08 |