| NPI | 1972621357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA IRWIN CEO 480-902-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC6521) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-10-18 |