| NPI | 1447948054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANN VAN LEER Chief Executive Officer 623-670-4670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |