NPI | 1770870032 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS M. JAMES Owner/Clinical Director 480-489-3925 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: AZ LPC-12923) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2011-07-06 |
Last Update Date | 2024-04-04 |