| NPI | 1679047336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE D SULLINS Founder/CEO 602-566-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |