| NPI | 1437691649 |
|---|---|
| Doing Business As | PRESCOTT VALLEY CENTER FOR COUPLES AND FAMLIES |
| Doing Business As | PRESCOTT INTEGRATED COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRANDEN HAYES HENLINE Owner/Clinical Director 928-830-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ LMFT-15128) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-04-08 |