| NPI | 1174608764 |
|---|---|
| Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | CORINNE BAILEY Credentialing Specialist 928-634-2236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-217) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-03-09 |