| NPI | 1770726184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C VAN DOREN CEO 520-290-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |