| NPI | 1134524705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A TUPPER Marriage And Family Therapist 602-541-3871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LMFT-15134) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |