| NPI | 1720693062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KANDARIS Owner 602-675-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-03-11 |