| NPI | 1275032807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NAUMANN Office Manager 480-326-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 4101006627) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2023-12-12 |