| NPI | 1558877969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEAN KEEGAN Owner/Operator 623-326-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 14194) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-03-17 |