| NPI | 1740771096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EDWARDS Owner 480-577-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15261) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |