| NPI | 1194312603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PHILLIPS Psychologist, Managing Partner 928-221-8212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-02-08 |