NPI | 1659904316 |
---|---|
Doing Business As | MARIPOSA COUNSELING |
Entity Type | Organization |
Authorized Contact | ADAM ROGERS Provider/Owner 928-830-1401 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |