NPI | 1003315292 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA K LOWTHER CEO 520-300-0176 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ LPC15863) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
Enumeration Date | 2018-02-02 |
Last Update Date | 2024-04-19 |