| NPI | 1871727735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ PARKER-JOHNSON Owner/Member 602-576-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC-13202) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-13202) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-13202) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-06-02 |