| 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 |