| NPI | 1629405337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA WHITAKER Director 623-289-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 11290) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2026-08-11 |