| NPI | 1427623701 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DENA M OMAR Owner 520-833-4290 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-05-20 | 
| Last Update Date | 2021-05-20 |