| NPI | 1992318562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HERNANDEZ Managing Member 480-414-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |