| NPI | 1225414915 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MELISSA COX-PASQUA Director / Therapist 602-525-5783 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC13764) | 
| Enumeration Date | 2015-08-04 | 
| Last Update Date | 2015-08-04 |