| NPI | 1083390124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EILERS DECKER Executive Director/Board President 602-363-3156 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-02-09 |