| NPI | 1629580139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GREGORY JAMES Owner 520-977-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009037) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2023-06-15 |