| NPI | 1326511593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK IVAN SMITH President 602-743-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101Y00000X Counselor |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |