| NPI | 1902570971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE GOLBECK Owner 480-405-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 171400000X Health & Wellness Coach | |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |