| NPI | 1538606140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA CRISS Owner/Manager/Counselor 602-677-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC10792) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2019-02-26 |