| NPI | 1720636392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY ZIOLKO Owner/Therapist 480-933-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-01-05 |