| NPI | 1932728748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J PLOURD Owner 602-473-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2024-02-10 |