| NPI | 1326762006 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TROY S. TANGEMAN Owner/Therapist 480-528-0697  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2022-09-27 | 
| Last Update Date | 2022-10-15 |