| NPI | 1811509581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MOSHER Founder/Director 520-307-6495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |