| NPI | 1952434540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN GARCIA Medicaid Coordinator 505-387-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NM 247324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 122095) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |