| NPI | 1801340690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY D ADAME Clinical Director/Owner 623-572-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14458) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |