| NPI | 1376782482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P KELLEY President 520-403-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-11749) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10666) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10167) | |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-11795) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2011-04-09 |