| NPI | 1922889419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAED LIZBETH AYALA PENALOZA Owner 928-261-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-11 |