| NPI | 1154381671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS EUGENE FRYE Owner And Founder 623-680-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-12149) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-02-04 |