NPI | 1477924843 |
---|---|
Entity Type | Organization |
Authorized Contact | MARAECA BUTLER Owner/Manager 480-579-8827 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15498) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2022-07-24 |