| NPI | 1659421071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA KELLEY President 480-429-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-3594) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-01-10 |