| NPI | 1861921975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI VOGELSANG Co Owner 602-285-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 10874) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 10882) |
| 101YM0800X Counselor Mental Health (Licence: AZ 13529) | |
| 101YP2500X Counselor Professional (Licence: AZ 14092) | |
| 103TC1900X Psychologist Counseling (Licence: AZ 1960) | |
| 1041C0700X Social Worker Clinical (Licence: AZ 0547) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |