| NPI | 1881192896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EDWARDS Licensed Professional Counselor/Own 480-577-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |