| NPI | 1154767291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELMA HUBER Owner, Manager 623-692-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-14028) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-11-12 |