| NPI | 1003978370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN LEWUSZ Chief Executive Manager 520-229-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ BH-2710) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |