NPI | 1235362757 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON MOORE Principal 602-400-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2009-09-01 |
Last Update Date | 2009-09-01 |