| NPI | 1467087106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OPUROKU Therapist 602-750-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YS0200X Counselor School | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |