| NPI | 1114892460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN MARY KILLIAN Mental Health Therapist 602-999-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-31 |