| 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 |