| NPI | 1669176699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L SMITH Owner 480-826-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-04-18 |