| NPI | 1023103272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN E MUDD Chief Executive Officer 520-836-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103G00000X Clinical Neuropsychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-11 |