| NPI | 1982709663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE P. LOUGHEAD President 505-250-6211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-05280) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-11-12 |