| NPI | 1295852051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EDWARD BRANTON Owner, President 480-730-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical (Licence: AZ 3719) | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |