| NPI | 1841636776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE MANSOUR Therapist 520-515-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LAMFT-10301) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2013-05-19 |