NPI | 1326634056 |
---|---|
Doing Business As | HEATHER DEVILLIERS |
Entity Type | Organization |
Authorized Contact | HEATHER LYNN DEVILLIERS Lpc 928-225-6838 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-12-16 |
Last Update Date | 2021-03-25 |