| NPI | 1518014927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A HEUVELMAN Social Worker 520-742-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ 1298I) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-11-13 |