| NPI | 1922279231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND SHIELDS Owner/ President 480-659-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC 10164) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |