| NPI | 1568253417 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BENJAMIN GOERTZ Owner 520-230-5626 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-05-12 | 
| Last Update Date | 2025-05-12 |