NPI | 1730553058 |
---|---|
Doing Business As | DESERT FOOTHILLS COUNSELING |
Entity Type | Organization |
Authorized Contact | IVORY KAIMARON PRICE CEO 520-371-3782 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AZ OTC6593) |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2015-11-24 |
Last Update Date | 2022-03-08 |