| NPI | 1518241660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XANTHIA ANGEL WALKER CEO 480-381-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |