| NPI | 1184881831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE BELONGIA Counselor 602-478-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-12682) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |