| NPI | 1235431271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA CORBY Credentialing 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH3778) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2024-08-16 |