| NPI | 1255198685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MICHAEL SKEENS Owner, Operator 602-388-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |