| NPI | 1457725707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI CENTER Owner 602-759-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-15353) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AZ LPC-15353) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-25 |