NPI | 1962644625 |
---|---|
Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC, INC. |
Entity Type | Organization |
Authorized Contact | CORINNE BAILEY Credentialing Specialist 877-634-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
163W00000X Registered Nurse | |
171M00000X Case Manager/Care Coordinator | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208VP0000X | |
251S00000X Community/Behavioral Health (Licence: AZ BH-3332) | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2009-03-27 |
Last Update Date | 2025-07-28 |