| NPI | 1740002369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH KAREN ENGLAND Owner 520-709-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |