| NPI | 1154171502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE L SIMONSON Marriage & Family Therapist 520-483-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |