NPI | 1619598273 |
---|---|
Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC |
Entity Type | Organization |
Authorized Contact | CORINNE BAILEY Credentialing Specialist 928-634-2236 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
163W00000X Registered Nurse | |
171M00000X Case Manager/Care Coordinator | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208VP0000X Pain Medicine, Pain Medicine | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-05-05 |
Last Update Date | 2021-05-14 |