| NPI | 1477857795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HAGGERTY Vice President 520-323-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 0998) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 0859) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |