NPI | 1821713538 |
---|---|
Entity Type | Organization |
Authorized Contact | GERMAIN HAKAN WILLIAMSON Owner 520-658-9459 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106S00000X Behavior Technician | |
Enumeration Date | 2022-10-05 |
Last Update Date | 2022-10-05 |