NPI | 1851895783 |
---|---|
Other Name | MICHAEL BRUBAKER COUNSELING, LLC |
Entity Type | Organization |
Authorized Contact | MICHAEL CLARK BRUBAKER Owner 520-836-9788 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: AZ LISACAZ0122) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |