NPI | 1083318430 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY CHETTLE Owner/Chief Clinical Officer 480-886-8080 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-05-02 |