| NPI | 1194102582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE SPANE Owner/Director 602-234-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-0716) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |