| NPI | 1346875986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WASHINGTON KELLY Professional Counselor 520-261-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-10-19 |