NPI | 1801304001 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA PAIGE HAUSER Owner/Counselor 480-307-7084 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-15306) |
Enumeration Date | 2018-01-22 |
Last Update Date | 2018-01-22 |