| NPI | 1194592824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEFFERT Partner 480-272-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |