| NPI | 1548959935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN P CASSIDY Practice Owner 602-222-2234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-03 |