| NPI | 1134672181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE MANDELL Owner/Lmft 480-641-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |