| NPI | 1861892689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY BETH JUNG Owner 480-775-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC1691) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |