| NPI | 1891552782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDICE JAMES Owner/Bht 480-440-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |