| NPI | 1518191246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANE RENEE THORSTAD Clinical Director 480-656-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-05-09 |
| Last Update Date | 2024-02-18 |