| NPI | 1184473571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FERNANDEZ Owner 480-331-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-05-16 |