| Organization Name: | ALLIANCE COUNSELING CENTER |
| NPI Number: | 1245504927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA R. BRUCE (CLINICAL DIRECTOR) |
| Mailing Address: | 1790 N Mastick Way Suite A Nogales |
| State: | AZ US |
| Postal Code: | 856211135 |
| Phone Number: | 5202810009 |
| Fax Number: | 5202810009 |
| NPI Enumeration Date: | 02/28/2012 |
| NPI Last Update Date: | 08/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC10240 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |