| NPI | 1457755183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BARRABEE Clinical Social Worker 520-409-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ LCSW-13178) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2016-09-07 |