| NPI | 1598255036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA JONES Owner 877-265-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: AZ LCSW-16772) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2019-06-11 |