| NPI | 1265586507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANNE KEEN Owner/Manager 480-430-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: AZ 3344) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2021-03-27 |