| NPI | 1497379200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VANDEGRIFF Owner 480-382-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-09-12 |