| NPI | 1699884395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KRIEGE Executive Director 480-969-2723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ none) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |