| NPI | 1861009938 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KELLY ELISABETH GUTOWSKI CEO/Psychotherapist 602-499-9952  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2020-09-23 | 
| Last Update Date | 2020-09-23 |