| NPI | 1568991560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE CRUMP Owner/Counselor 602-689-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 15550) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-03-29 |