| NPI | 1619503224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM YORK Clinician 520-784-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |