| NPI | 1518105139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE LUX-SMITHSON Counselor 480-730-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 568355) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |