| NPI | 1093180309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GOLDSTONE Co Owner 520-395-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy |
| 1835P1300X Pharmacist, Psychiatric | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |