| NPI | 1235677584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN COX-PASQUA Owner 602-821-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC13764) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |