| NPI | 1144466707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANGELO BORDERS President/Chief Executive Officer 520-826-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3861) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: AZ 3861) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 3861) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: AZ 3861) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AZ 3861) | |
| 103TE1100X Psychologist, Exercise & Sports (Licence: AZ 3861) | |
| 103TF0000X Psychologist, Family (Licence: AZ 3861) | |
| 103TF0200X Psychologist, Forensic (Licence: AZ 3861) | |
| 103TH0004X Psychologist, Health (Licence: AZ 3861) | |
| 103TH0100X Psychologist, Health Service (Licence: AZ 3861) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: AZ 3861) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: AZ 3861) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: AZ 3861) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ 3861) | |
| 146D00000X Personal Emergency Response Attendant (Licence: AZ 3861) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |