| NPI | 1720448418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA G DATINGALING President And CEO 623-332-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ BH4782) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-06-23 |