| NPI | 1851709513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUIE BETH JENSEN Therapist 480-221-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LISAC-11489) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |