| NPI | 1285148502 |
|---|---|
| Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CORINNE BAILEY Credentialing Specialist 928-634-2236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2020-03-09 |