| NPI | 1902577745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSE-TIMOTHY LAMONT COATES Owner Clinical Director 602-693-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |