| NPI | 1982908638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN GRANSIE BARWICK Administrator/Owner 520-624-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH-3343) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |