NPI | 1023103272 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMAN E MUDD Chief Executive Officer 520-836-1688 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
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 | 2020-08-22 |