| NPI | 1295517852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L ROME Clinical Director 520-391-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2026-01-14 |