| NPI | 1871118919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA GONZALES-GABALDON Clinical Director 480-292-3219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |