| NPI | 1760965941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA L GONZALES Owner, Therapist 602-570-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-12-17 |