| NPI | 1669802658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANNE BETTINO Owner 928-772-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-0033) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |