| NPI | 1902586308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEAN ELLIS Owner/Therapist 602-999-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-05-15 |