| NPI | 1982782785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA WILKENING Clinical Director 928-708-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC1256) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-22 |