NPI | 1114704400 |
---|---|
Doing Business As | CACTUS BLOOM COUNSELING |
Entity Type | Organization |
Authorized Contact | DANYA KNEBLE Owner 602-739-8655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |