| NPI | 1043452303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JANE NICHOLS Psychologist 520-743-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 3378) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |