| NPI | 1710725486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JO LADD Forensic Behavioral Psychologist 520-508-8694 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR1100X Clinic/Center Research | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |