| NPI | 1912433475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKA J GREEN Chief Clinical Officer 480-382-9583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LCSW-16083) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |