| NPI | 1902217102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY LISA FAILONI Owner 480-751-9015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 13401) |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2014-05-11 |