| NPI | 1124663356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KRUEGER Executive Director 623-335-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-04-30 |