| NPI | 1316261688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL THOMAS President 928-428-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ lpc10230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ lisac 11843) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |