| NPI | 1952181224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA M MORENO-WAZLAVEK Chief Of Behavioral Health Services 915-487-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |