| NPI | 1497411185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA KIENER Clinical Director 480-375-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |