Organization
DESERT PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CATHCART (CEO)
(928) 301-4596
Entity
Organization
Contact information
Practice address
12170 E CORNVILLE RD, CORNVILLE, AZ 86325-5260
(928) 301-4596
(928) 708-9620
Mailing address
12170 E CORNVILLE RD, CORNVILLE, AZ 86325-5260
(928) 301-4596
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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