NPI | 1619428356 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD I RUFF Owner 623-800-7980 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2016-10-18 |
Last Update Date | 2017-03-02 |