| NPI | 1538823414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE RONALD BISHOP Owner/Licensed Pyschotherapist 602-888-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |