| NPI | 1154750529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY KUSAK Member, Statutory Agent, Founder 480-748-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-13028) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2016-10-19 |