| NPI | 1932894748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA SONI Owner 602-748-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-05-24 |