| NPI | 1144460239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON G. WILSON President 520-289-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 102L00000X Psychoanalyst | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TH0100X Psychologist, Health Service | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |