| NPI | 1780253500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA F BOCK Managing Member 480-726-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |