| NPI | 1558875112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROLINE CRAWSHAW Owner/Operator 520-784-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16316) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-16316) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |