| NPI | 1427702588 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TIFFANY RUELAZ CEO/Lead Clinical Therapist 520-276-6893 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 103TC1900X Psychologist, Counseling | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-02-08 | 
| Last Update Date | 2022-02-08 |