| NPI | 1326511718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN D DAVIS-LASHLEY Owner 602-301-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2020-06-14 |