| NPI | 1093524324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN PROSEV CEO 480-390-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |