| NPI | 1376601914 |
|---|---|
| Other Name | PRESCOTT OPC |
| Entity Type | Organization |
| Authorized Contact | WENDY RAZO Executive Director 928-777-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH-3517) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ BH-2730) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-02-15 |