| NPI | 1760529168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE PACKARD Owner 480-345-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC1693) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |