| NPI | 1578033809 |
|---|---|
| Doing Business As | DOUGLAS INTEGRATED COUNSELING CLINIC |
| Entity Type | Organization |
| Authorized Contact | ESTELLA HERNANDEZ Contracts & Credentialing Admin 520-838-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-06-10 |