| NPI | 1629835764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAH TARAPACKI Clinician/ Clinical Director 602-377-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |