| NPI | 1467878975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA SMITH WILLIAMS Chief Administrative Officer 520-560-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ OTC6251) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ OTC6251) |
| 101YP2500X Counselor, Professional (Licence: AZ OTC6251) | |
| 103TC1900X Psychologist, Counseling (Licence: AZ OTC6251) | |
| 103TH0100X Psychologist, Health Service (Licence: AZ OTC6251) | |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |