| NPI | 1629805072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON NORDAHL Senior Director Of Compliance 602-285-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |