| NPI | 1962772400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY A. HAIG Licensed Independent Social Worker 505-983-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-0079) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |