| NPI | 1447096235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE L GONZALEZ Owner Clinical Therapist 602-793-7609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |