| NPI | 1316229339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN LEWUSZ Chief Ex Mgr/Co Owner 520-904-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ BH3832) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH3832) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |