| NPI | 1023059839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MIMNA KNAPIK Counselor 520-481-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC 12100) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 10390) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |