| NPI | 1134704240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL GAHAKANYI Program Operating Coordinator 480-466-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |