| NPI | 1790121820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE THOMPSON Operations Manager 480-962-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC 2079) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |