| NPI | 1699982348 |
|---|---|
| Doing Business As | PRESCOTT COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DERESCHUK GRAY CEO 928-774-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3096) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-03-06 |