| NPI | 1912372822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAIMONDI Therapist 602-569-4328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC 14499) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |