| NPI | 1174266779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA JEAN BREI Executive Director 602-688-9148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101200000X Drama Therapist |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |