| NPI | 1205595394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CHATELLIER Clinical Social Worker/Owner 480-382-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-02-24 |