NPI | 1154089696 |
---|---|
Former Legal Business Name | VIVIDLY VITALITY MENTORING & COUNSEL, LLC |
Entity Type | Organization |
Authorized Contact | TALENCIA ARLICIA WALKER Executive Director 480-484-8647 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-12-01 |
Last Update Date | 2021-12-01 |