| NPI | 1801100961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE ALLEN KRUSE Owner/Director 520-678-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT 10273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 454007) |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2010-07-31 |